Looking at trauma through culturally diverse lenses
Download
1 / 25

Looking at Trauma Through Culturally Diverse Lenses - PowerPoint PPT Presentation


  • 396 Views
  • Updated On :

Looking at Trauma Through Culturally Diverse Lenses. Vanessa Berens Pat Acosta Encuentro Latino National Institute. Trauma Definition. Experiencing a serious injury to yourself Witnessing a serious injury to or death of someone Facing imminent threats of serious injury or death

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Looking at Trauma Through Culturally Diverse Lenses' - richard_edik


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Looking at trauma through culturally diverse lenses l.jpg

Looking at Trauma Through Culturally Diverse Lenses

Vanessa Berens

Pat Acosta

Encuentro Latino National Institute


Trauma definition l.jpg
Trauma Definition

  • Experiencing a serious injury to yourself

  • Witnessing a serious injury to or death of someone

  • Facing imminent threats of serious injury or death

  • Experiencing a violation of personal physical integrity

  • An emotional wound or shock often having long-lasting effects

    (The Workgroup on Adapting Latino Services, 2008)


Responses to trauma l.jpg
Responses to trauma

  • Immediate responses to trauma

    + Terror + Psychological Reactions + Shock

    + Horror + Helplessness +Fear

  • Post-traumatic symptoms

  • Intrusive

  • Hyper-arousal reactions

  • Avoidance and withdrawn reactions

    (Cook, Blaustein, Spinazzola, and Van Dr Kolk, 2003)


Children s responses to trauma l.jpg
Children’s Responses to Trauma

Separation Anxiety

Young Children

Developmental Regression

Sleep Disturbance

Poor Attention

Somatic Complaints

School Aged Children

Internalizing Problems

Externalizing Problems

Heightened Shame

Guilt

Adolescents

Withdrawn

Self-destructive/High risk behavior

(The Workgroup on Adapting Latino Services, 2008)


Cultural difference in dealing with trauma l.jpg
Cultural Difference in Dealing with Trauma

Trauma occurs across the full spectrum of racial, ethnic, and cultural groups and greatly varies between and within ethnicities and cultures

Pendulum


Help seeking trends for trauma l.jpg
Help Seeking Trends for Trauma

(National Child Abuse and Neglect Data System, 2006)


Issues in utilizing services for latino population l.jpg
Issues in Utilizing Services for Latino Population

  • Lack of health insurance

  • Transportation issues

  • Lack of bilingual services providers

  • Lack of culturally appropriate information

  • Unfamiliar with mental health treatment

  • Self-consciousness

  • Distrust of the system

  • Shame and stigma

    (The Workgroup on Adapting Latino Services, 2008)


Common risk factors for the latino population l.jpg
Common Risk Factors for the Latino Population

  • Poverty

  • Inadequate housing

  • Single-parent families

  • Substance abuse problems

  • Stress related to acculturation and discrimination

  • Lower levels of education

  • Cultural history of oppression

    (The Workgroup on Adapting Latino Services, 2008)

Environment Factors


Additional risk factors l.jpg
Additional Risk Factors

Immigration Experience

Anti-Immigration Discrimination

History of Civil War or Oppressive Dictatorship

Culture-Related Intergenerational Conflicts

(The Workgroup on Adapting Latino Services, 2008)


Holistic approach l.jpg
Holistic Approach

Alternative Healing

Traditional Healing

Folk Healing


Hierarchy of lay healers l.jpg
Hierarchy of Lay Healers

Señora/Abuela

Yerbero

Sobador(a)

Partera

Espiritualistos(as)

Curandero(a)

Neff, N. (n.d.).


Common values among latino groups l.jpg
Common Values among Latino Groups

Familismo

Simpatica

Respecto

Personalismo

Religion/ Spirituality

Machismo/Marianismo

(The Workgroup on Adapting Latino Services, 2008; National Child Traumatic Stress Network, 2007)


Folk healers l.jpg
Folk Healers

Yerbero (herbalist)

Sobador (massage therapist)

Partera (mid-wife, who also treats problems with young children).

Espiritualistos(as) (psychic mediums)

Curandero (healer who may use multiple modalities).

(Trotter & Chavira, 1997)


Common folk illnesses l.jpg
Common Folk Illnesses

Susto (soul loss; literally “fright of the soul”)

Empacho (Digestive blockage)

Caida de la mollera, espanto (soul loss)

Mal De ojo (Evil eye)

Brujeria (witchcraft)/ Embrujado (Hexed)

Ataque de nervios (Attack of the nerves)

Bilis, colera, muina (Rage)

Locura (chronic psychosis)

(American Psychiatric Association, 2000)


Spiritual healing l.jpg
Spiritual Healing

Altares (alters)

Saints (Specific Roles)

Los milagritos (Miracles)

Amuletos (Amulets)

Mandas (negotiations)

Veladoras (Candles)

(Trotter & Chavira, 2000)


Cleansing l.jpg
Cleansing

Limpias or Barridas (Cleansing)

*Bring back the body and spirit

*Draw out illness and negative

forces into the objects used

*Cleansing prayer brings healing

energy into the person

*Used for Spiritual imbalances

Smudging/Sahumerio/Incensing

(Trotter & Chavira, 2000; Krajewski-Jaime, 1991)


Herbal remedies l.jpg
Herbal Remedies

Treatment of minor illnesses

The retention of a locus of self control

Spiritual cleansings

Used in teas, herbal baths, or poultices

Imbalances of heat and cold, Dry and wet

(Trotter & Chavira, 1997; Neff, N., n.d.)


Energy balancing l.jpg
Energy Balancing

Hot and cold balance

Material and Spiritual balance

Vibrating energy

Crystals

Massage/Reiki

Biofeedback

Hypnotherapy

Acupuncture and acupressure

(Trotter & Chavira, 1997; Neff, N., n.d.)


Relaxation l.jpg
Relaxation

Meditation

Deep breathing

Progressive relaxation

Visual Imagery

Aroma therapy

Exercise/Tai Chi/Yoga

Mindfulness

Visit with loved ones

Smile for one minute


How to become culturally competent l.jpg
How to Become Culturally Competent

  • Self awareness: Allow examination of your own beliefs and values.

  • Institute cultural knowledge: Take time to learn the culture, language, and values of minority populations.

  • Value diversity: Consider different backgrounds and viewpoints as strengths.

  • Be conscious of cultural dynamics: Diversity can cause feelings of uneasiness and conflict when different cultures interact. Such issues can be resolved through empathy.


Incorporating culture and language l.jpg
Incorporating Culture and Language

Level of Acculturation

Language

Assess Language

Culture

(Values, norms,

customs, etc.)

Psychological & Physical Health

Assess degree of pathology

Perceptions of health issues and services

Culturally Appropriate Treatment Plan

Intervention Strategies

(Language, cultural themes,

cultural scripts)

Resources

(Latino mental health, folk healers,

clergy, family, other professionals)

(Santiago-Rivera, A, 1995)


Treatment recommendations l.jpg
Treatment Recommendations

  • Make a good first impression

  • Take acculturation into account

  • Conduct a thorough, culturally modified assessment

  • Integrate cultural values into the therapeutic process

  • Engage Families

  • Incorporate Evidence-Based Practices (EBPs) to fit the cultural context

    (National Child Traumatic Stress Network, 2007)


Cultural values recommendations l.jpg
Cultural Values Recommendations

  • Become familiar with Latino specific values and the moderating factors that may lead to value differences

  • Conduct a value focused assessment and feedback session of the values

  • Assist families in understanding how their values shape their perceptions

  • Assist families in reframing their perceptions that might hinder them

(The Workgroup on Adapting Latino Services, 2008)


Cultural values recommendations24 l.jpg
Cultural Values Recommendations

  • Provide assurance to undocumented families

  • Ask specific questions to the client’s immigration, acculturation, or assimilation process and/or stressors

  • Assess for acculturation differences within the same family

  • Familiarize yourself with immigration laws, policies, and resources

    (The Workgroup on Adapting Latino Services, 2008)


References l.jpg
References:

Cook, A., Blaustein, M., Spinazzola, J., and Van derKolk, B. (2003).

Complex trauma in children and adolescents. National Child Traumatic Stress Network Complex Trauma Task Force. Retrieved August 30, 2009 from www.nctsnet.org/nctsn_assets/pdfs/edu_materials/ComplexTraum_All.pdf.

Ford, J. D. (2008). Trauma, posttraumatic stress disorder, and ethnoracial minorities: Toward diversity and cultural competence in principles and practice. Clinical Psychology: Science and Practice, 15(1), 62-67.

National Child Abuse and Neglect Data System. (2006). National data archive on child abuse and neglect. Retrieved August 30, 2009, from the National Data Archive on Child Abuse and Neglect Web site: http://ndacan.cornell.edu/NDACAN/Datasets.

National Child Traumatic Stress Network. (2007). Preliminary Adaptations for working with traumatized Latino/Hispanic children and their families. NCTSN Culture & Trauma Briefs, 2(3). www.NCTSN.org.

National Child Traumatic Stress Network. (2005). Promoting culturally competent trauma informed practices. NCTSN Culture & Trauma Briefs, 1(1). www.NCTSN.org.

The Workgroup on Adapting Latino Services. (2008). Adaptation guidelines for serving Latino children and families affected by trauma (1st ed.). San Diego, CA: Chadwick Center for Children and Families.


ad